设置6分钟的最低检查时间,可以在内镜检查期间更好地检测焦点上胃肠道损伤:多中心前性研究
Ye Gao1,2, Meng-Xi Cai1,2, Bo Tian1,2
1Digestive Endoscopy Center, Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China.
Clinical and translational gastroenterology
|June 12, 2023
概括
设定食管胃管腺镜检查 (EGD) 的最低6分钟检查时间显著改善了焦点病变的检测. 这种质量改善策略在多中心研究中提高了瘤检测率.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 改善医疗保健的质量.
背景情况:
- 观察性研究表明,食管胃管腺镜 (EGD) 检查时间和瘤检测之间存在正相关性.
- 然而,建立最低检查时间对病变检测的影响需要进一步调查.
研究的目的:
- 评估最小的检查时间对诊断EGD期间的焦点损伤检测率 (FDR) 的影响.
- 评估这项干预措施在内镜手术质量改善方面的潜力.
主要方法:
- 这是一项前性,两阶段的干预性研究,涉及中国7家三级医院.
- 第一个阶段:记录了基线EGD检查时间. 第二阶段:实施了6分钟的最低检查时间.
- 主要结果是焦点损伤检测率 (FDR).
主要成果:
- 最短6分钟的检查时间显著改善了FDR,从33.6%提高到39.3% (P = 0.011).
- 高风险病变的检测率,包括瘤病变,也显著增加 (3.3%对5.4%,P=0.029).
- 内镜师坚持6分钟的最低时间,提高了检查时间和FDR的一致性.
结论:
- 在EGD期间实施6分钟的最低检查时间是改善焦点病变检测的有效策略.
- 这一干预表明了作为EGD程序质量改善措施的广泛采用潜力.
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